| Crossroads Medical Centers, Pa | |
|
3000 N Chestnut St Suite 120 Chaska MN 55318-3054 | |
| (952) 448-2050 | |
| (952) 448-2185 |
| Full Name | Crossroads Medical Centers, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3000 N Chestnut St, Chaska, Minnesota |
| Authorized Official Name and Position | John A Rekow (ADMINISTRATOR) |
| Authorized Official Contact | 9523610529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Medical Centers, Pa 3000 N Chestnut St Suite 120 Chaska MN 55318-3054 Ph: (952) 448-2050 | Crossroads Medical Centers, Pa 3000 N Chestnut St Suite 120 Chaska MN 55318-3054 Ph: (952) 448-2050 |
| NPI Number | 1518066646 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518066646 | NPI | - | NPPES |
| 51172CH | Other | MN | MN BCBS ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 153 (Minnesota) | Primary |
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